| NPI | 1811916976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HERBERT Senior Billing Admin/Credentialing 410-546-4427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2025-02-14 |